4342 Matthew Ct! CITY OF EAGAN
I --.3930 Pilot Knob Road
I Eagan, Minnesota 55122-1897
(651) 681-4675
?i SITE ADDRESS:
! i;t: ii?f 1.'{1!
PERMIT SUBTYPE:
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
f, fs l ri+ b: ?
?i,.. ? .?!.q i9?,•Itl
TYPE OF WORK:
t<ur1 0intt;
a:1q!,':1
H! /1'r J'i,+
INSPECTION .. . .•
a? ?N
Rk MA6fN AN kf.V l l bJl ll t4Y I.AA'(Nt MI I 1 1 1'Ir
' i F. W F'I IIpIHF I: 1'? 1iFlYMOtJlI 11J11 ?? f'H11ry1 #(?',I ') Yti.r,-/,td
Permtt Holder Dete 7elephone S
SEWER/
WATER
PLUMBING ? , ?, ? 99 BY?.(?09
HVAC
Inspeetlon Date Insp. Comments
FOOTINGS
t
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOAFD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITV
TEST
HVDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
%ertificate of cccuvanc?
(gi" ot eagatt
#?epartmettt o(r loailbing an?pectiDn
This Cenef:cate issued psrsuant to the requirements of the Uniform Building Code
certifyirsg that at the time of issuance this structure was in comp(iance with the various
ordinances of the City regulnting building constructian or use. Fnr [he fa!lowing:
ux a=irMeoo: SF DW Bidg. Pmnit No. 34537
o-Pwcy Tra $3/U ! Zon;ng u? R l rya consi. VN
o? or euim;ng IIUR" BM Ad?4466 WMWM DRIVE. PACM
BwidingAdd? 4342 ?MT'EW101CURr leolicy.h B! "?a ?INM-w
Dm:?1
e,mag «Fww
POST IN A CONSPICUOUS PLACE R
4
" ??
Address 434_2 rrATTHEw MIRT Zip 5512 3
Lot 6 Blk I Sub ?.EKRqcmrr PoarrE 127x
THESE IT'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: a Go? Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage VOO,
Porch
Basement finish
E
Deck vo.-I
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-aff of water supply to
the outside awn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in tightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor CoPY
- --------------
? FPr ?N8_Use ?
j Permit #: 13 Q
? Permit Fee:
? Date Received:
I Staff:
I
? _ J
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:
Tenant:
Suite #:
RESIDENT ! OWNER Name: ? f(3e y? Cd? r[, Phone: 461d, -.26'
7
6
Address / City / Zip: S-q !M c
Applicant is: _ Owner ? Contractor
TYPE aF WORK Description of work: /?a? ,•?7 0 j C?
Buildin
Construction Cost:?? ~Multi-Famil
: (Yes / No Xi
g
y
CONTRACTOR Name: t?j aZ, L?r.7„ ?c? h r I A Te- r V License #: 07000Q44.j?'$/-
Address: -712 Cj /?11rc?l
City: State: M o(/ Zip:
Ph
? ?c S
"
one:
Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Flesidential Ventilation Category 1 Worksheef • New Energy Code Worksheet
Category Submitted Submitted
(4 Submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumher: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting docuriterits lhaf you submit are Considered ta be public in#ormationi Portions ot :
fhe iniormafion may be' class+i?ed as non-pubfic if you ?Ororide specific reasons'that wauld permit the City [o
coriclude that the -are trade secrets.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permiF that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X cG, - a ?oM?D
Applicantfs Printed me D D
OCT 2 '0?j 2008
Site Address: P 4 Cfp
--
x
/CpplicanYs Signature
Page 1 of 3
y
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? OS-plex ? 16-plex ? Accessory Building ? Pool
? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi
? Ot of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF
? 02-Plex ? 08-plex ? Deck ?9 Porch (screen/gazebo/pergola) ? Multi Misc.
? 03-Plex ? 10-plex ? Lower Level ? Storm Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
P New ? Interior Improvement 0 Siding ? Demolish Building'
? Addition ? Move Building ? Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Windows ? Demolish Foundation
? Replacement ? Egress Window ? Water Damage
* Demoldion (entire building) - give PCA handout to applicant
DESCRIPTION:
Valuation Occupancy -?- RL` ? MCES System
Plan Review Code Edition AJ2 zov'j SAC Units
(25% 100%? Zoning City Water
Census Code Stories ( Booster Pump
# of Units Square Feet PRV
# of Buildings Length _7 Fire Sprinklers
Type of Const. Width / y •
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck)
? Footings (addltion)
Foundatian
Drain Tile
Roof: _Ice & Water _Final
? Framing
Fireplace:_R.I. _Air Test _Final
Insulation
Reviewed By:
Sheetrock
Final/C.O.
>0 Final/No C.O.
HVAC
Other:
Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall
Building Inspector
RES/DENTIAL FEES:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
Y lq ' p fGy\ Pa?-C 'I- ?G 'vs-. P?
? `/` O
af Vy/o.JV a
F4'6-5 Fp R 7,>ec ?, CL- g'
r,}1G 5 ?R )2n Df a, 7'
Page2of3
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122 ? r? ?,?(?
651-681-4675 ?
New Cunstruction Reauiremants
. 1 rzyistereC site surveys showmg sq. ft. of:ct, sq. ft. of house, and ail roofed areas
(20% maximum iot coverage allowed)
• 2 cocies ut plan ;howing beam 3 window sizes; poured found design, etc.)
• t set of cnergy Calculations
• 3 copies of 7ree ?reservalion Plan if Ict platted aRer 71ti93
• Rim Joist Cetail Options selection ;heet ?'.bitlgs with 3 or less units)
DATE 09--
RemodeBRapair Requirements .. a .Q-
. 2 copies of plan _?'...?F1?
• 1 set oi Energy Caiculalions for heated additions
• t site survey'or ez;enor additions & decks
• Indicate if home served by septic system for additions
VALUATION
SiTE ADDRESS 44a MQ-Nf_W U ? MULTI-PAMILY BLDG _ Y ?X N
TYPE Of WORK ?2C4_'- FIREPLACE(S) )( 0_ 1_ 2
APPLICANT MK? 4 (9
STREET ADDRESS 4?4A MCl
r4.9An STATE X;`A/ZIP /.;?3
TELEPHONE # k51- Wge- &tlb CELL PHONE #
FAX #
PROPERTYOWNER?'-??'l. TELEPHONE#
Y
. . . . . . . . . . . . . . . . . . . . . . . . . . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - -
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ 1fIN\ESl)'1-A R[1LES 7670 GV'I"I:GOKY 1 MI\NESO'1'A Ri'L1:S 7672
(•.' submission rype) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: ____
Plumbinn systcm includes:
Mechanical Contractor:
Mcch.unical svsLcm includes:
Sewer/Water Contractor:
Water Softener
? Water Hca[er
No. of Baths
Air Conditionins;
Heal Rccoven• Sy°stciti
Fee: y90.00
Phone #
n ? (?? ? ? IJrff??; ."??? 11200Z ?
Pb'?'e #
----------------------------------------------------------------------------------i?? ???.. --.....----
i hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appl(cant -6z?06 64-
OFFICE U5E ONLY
_ Phone #
L.awii Sprinkler
No. oFR.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1/02
OFFICE USE ONLY
., ?
? 01 Foundation ? 07 05-plex ? 13 16-plex p 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Firepiace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex 0 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? OA 02-plex ? 10 08-plex "X 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
0 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
K 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demofish (Bldg)' ? 43 Reroof ? 40" WindowslDoors
? 34 Rep{acement *Demolition (Entire Bldg only) • Give PCA handout to applicant
Valuation A_"_"" Occupancy MC/ES System
Census Code -L?-t Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr, of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) _ Finab'C.O.
Footings (deck)
? .?p Final/D1o C.O.
Footings (addition) Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & VVarer _ Final _ Pool _ Ftgs _ AiriGas Tests _ Final
_ Framing _ Siding Stucco _ 5rone
_ Fireplace _ R.I. _ Air 1'est _ Final _ Windows (new`replacement)
_ Insulation _ Retaining Wall
Approved By Building Inspector
Base Fee
Surcharge
Pian Review
MC/ES SAC
City 5AC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
`? 2 !a D ? ? ? .?
A
F-
eEtvcH ?aRE< ?J
? 70F' OF FIPE.
0 ELEV.=990-28 ,
A I-IOUSE
?ti ' 986,8
953
c:?EG. '. ????s9r??'??4,°'? ? i 1 .Qd
T t v .? u
Q 3?_,4 ?CA`TV, ~+YFS.95 Y 234.33 985.0
ue
I T -?a in
ME /) - ...... - -.. - .._. - -.I O ..,.. ?... .?. ?i... ..? ? -..? ..? ..? _.?
•• r, t0 992.2
NtJf? a3? W I S-rKVIcE LL. 24. s3,?
PER CUNST, PLAN ?, ?SS.Z I
x
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2.0 X;7 ?
• ? ?
,; •,?? ?1 993.9
?? \h?o 4
ip
992.0 ? .00
3 '?j0 l1v I I ?
.? ?eo.1 x 986.5 ?t`?• ??,a i? o
? .r in. I ?'.
995,D Q-;t? 10a' N\\U\r-
W r
? 0 -P ? 2?r ? ; ?' 2.00 ?? i
tt ??
?
993,1 ? 92.2 «? `"i ?- 992-5?r i Kd ?
I ?, --- rn t
a N81'fI9;15?0)7 111 .34•? ~ ?? 4 .. ?w a
Fi3 - -j
eENcia MARI< ?
TC)P OF PIPE'
ELCV,=982.09
n0'rE: JUitDING DItiiEN5i04S SHOtmi aRE FOft H6Ri20NrqLAND vpariCAL LOCn7iGN
OF STRUt;..TUIES ONLY. S$E ARCNITECTUAG FL4hlS fOR BUILOING f,NU
' FOUtaDAlibA Ui:•PnN510N5.
`70iE: NO S?ECIFIC SCILS INVFSTiGATION HAS 8[EN COIAPi„VED ON THIS L0.7 OY TFIE...,
• - SuRV:YqR, THE SUITa(31LITY pF 50'L5 TO 5UPFORT 7fiE SPECiFiC MOUSE -PROFOSdp !S Id0i THE RES°ON5131LITY 0F THE SUI7VE'[0iR-
rdOrE; IHI5 CER7iFiGATE DOES -Npr PURPORT TO SNOW EAdEv.?r:r, OTMFR 7NaN
TH?JSF 5110N'N 0N TFIE f2ECOR0ED PLAT.
?
NOTE: 40MTfiACT4R IdUST VEFfFY O.AIVE4/AY DESIGN. -_-
Np'fE; EFAF:INC$ SNO'f!N ARE PASE4 ON AN A55UMED DATUM
W9v. 13
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,--
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r
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1 31: ?
? I---?
G`v
tU?C; ?ss.e
s?s-? lq£??-?,o)
$95.A EXIST;NG
GARA'GE
f
7
- onane?n ?. r•C ^i c?/• T!(1:;i
--
?
L04UE5`f FLOOR ELe.Vh1TI0N:
TCP Ur F3LOGC ELEVATICN:
GARAGE 51A8 ELEVA710N: ??.
XQq0.00 AENDTES "cxi$7iNG ELEVATidN
00G.90 ) UENOTES PROPOSEp t'IEVATfON -? .
OENOTES ORAINAGE iND UT41TY EASEMEN7
- --'- OEI.OTE5 ORAINACE FLOW UIftECT10N
----?F-- JENOTES MONUMFNT
RESIDENTIAL BUII.DING
(06?O 05 Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
0
C%r?Gl?.?- 10,4003
New ConsWCtion Reauirements RemodeURepair Reauirements Office Use Onh
3 registered site surveys showing sq. ft of lot sq. fL of house; and all roofed areas 2 cories of plan Cert ot Survey Recd _ Y_ N
(20% maximum bt coverage aflowed) 1 set ot Energy Calculations for heated additions Tree Pres Plan Recd _Y _ N
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addiUons & decks Tree Pres Reqd _ Y_ N
1 set of Eneyy Calculations Add'rtion - indicate iton-srle septicsystem On-site Septic System _ Y_ N
3 copies of Tree Preservation Plan if lot plaked after711193
Rim Joist Detail OpBons selection sheet (bldgs with 3 or less units
Date IZ) / L ( / (D .3 Construction Cost
Site Address Ll3L{ Z Unit/Ste #
?
Description of Work
Multi-Family Bldg _ YN Fireplace(s) _ 0? 1 _ 2
Property Owner (cj Telephone # ( c?S 6?
Contractor ? t"?lg??'1
Address T--- City SA'`1A&6
State Zip Telephone#(55-?)`?`?4'
COMPLETE THIS AREA ONLY IF
Energy Code Category - Mlnnesota Rules 7670 Cateeorv 1 _
• ResidenGal Venfilation Category 1 Worksheet
(4 submission type) Submitted
. Energy Envelope Calculations Submitted
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _
fee applies.
Licensed Plumber Telephone #(
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
N If so, 25% pian review
Telephone #
r i. S
R ? ?td OrT , 3 1.C03 ?IJ;
I hereby apply for a Residential Building Permit and acknowledge that the inf ation is complete accurate;
that the work will be in conformance with the ordinances and codes of the Ci of Eag St te of MN
Statutes; I understand this is not a permit, but only an application for a permit, r- i - stazt•without a
pernut; that the work will be in accordance with the approved plan in the case of work which requi es a review and
approval of lans.
?i4?r?t??J?
Applicant's Printed Name Ap i`?s Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Types
? 31 New
? 32 Addition
t( 33 Alteration
? 34 Replacement
? 13 16-plex
? 16 Fireplace
? 17 Garage
? 18 Deck
t? 19 Lower Levef
PIbg-Y or _ N
? 30 Accessory Bldg
? 31 Ext. Alt - Mutti
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire fiepair
? 37 Demolish (Bldg)* ? 43 Reroof p 46 Windows/Doors
•Demolition (Entlre Bidg) - Give PCA handout to applicant
Valuation 0 o O
Census Code Ll
SAC Units
Nbr. of Units ?
Nbr. of Bldgs ?
Type of Const ?
Occupancy 2 ' 3?
Zoning )20
Stories
Sq. Ft.
Length
Width
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Parch (screen/gazebo)
? 24 Storm Damage
? 25 Miscelianeous
MClES System
City Water
Booster Pump
PRV
Fire Sprinklered
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addirion)
_ Foundation
_ Drain Tile
Roof Ice & Water Final
? Framing -
? Fireplace _ R.I. _ Air Test _ Final
? Insulation
REQUIRED INSPECTIONS
FinallC.O.
Fina]/No C.O.
• Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
_-G
U?
Approved By:j P f z-U
, Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 07 05-plex
? OS O6-plex
? 09 07-plex
? 10 08-plex
O 11 10-plex
? 12 12-plex
PLUMBING (RESIDENTIAL)
? t t Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Singie Family Dwellings
Townhomes and Condos when permits are required for each unit
Datelo/2-/ U3
Site Address y3/7/2- 1,1Zt 14? JZt,r.v Unit #
Property Owner 4a,n ? Telephone #((051 ) 6 Z77- Fy yE
Contractor !`v )VLc, g4-r/
Address ? I ?, litf ?g?f "1 .S•7A- City
State /?- Zip 5 5v2`/ Telephone #(?h?h a y'Z-i-
The Applicant is _ Owner ?-/ Contractor Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterati s To Existing Dwelling Unit, Including
? $ 50.00
Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needend -
1
$
21/.?00)
-
-
•
Other. C
_ RPZ _ new installation _ repair _ rebuild
$
30.00
_ Lawn irrigation system
Water softener Water heater
- -
$
15.00
_ replacement _ additional
$ .50
State Surcharge
J
TOtaI $
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a ermit; that the w rk will be in accordance with the
approved p in the case of work which requires a review and approval of plans.
?
Applicant's Printed Name App ic t's Sign ture
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EQCAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
Naw Construction Reauirements RemodellReoair Reauirements
• 3 registered site surveys showirg sq. ft. of lol, sq, ft. ot fiouse; and all roofed areas • 2 copies of plan
(20°!o maximum lot coverage allowed) . 1 set of Energy Calculations for healed additions
• 2 copies of ptan shawing beam 8 window s¢es; poured found design, etc.) • 1 site survey for exterior additions & decks
• 1 sel of Energy Calculatlons . Indicate it home served by sepUc system for addilions
• 3 copies ot Tree Preservalion Plan H lot platted after 711/93
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE
VALUATION 1 ? C) '25lZ- Z?
SITE ADDRESS MULTI-FAMILY BLDG _ Y ? N
TYPE OP WORK ? AQ FIREPLACE(S) K0 _ 1_ 2
APPLICANT Catastrophe Restoration Services Inc.
STREET ADDRESS 2489 Rice St Suite 70 CITY R052VII12 STATE MN z1P55113
TELEPHONE # 651-734-9433 CEII PHONE #
FAX # 651-483-0219
PROPERTYOWNER TELEPHONE#
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNF,SOTA RULES 7670 CATEGORY 1 MINNE507:,k RULES 7672
(4 submission type) • Residential Ventilation Category 1 Woricsheet SubmiKed • New Energy Code Worksheet Submitted
. Energy Envelope Calculations Submitted
Plumbing Contractor. _Phone #
Plumbing system includes: + Water Softener ? Lawn Sprinkler Fee: $90.00
? Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical Contractor: Phone #
Mechanical system includes: Air Conditioning Fee: 370.00
_ Heat Recovery System
Sewer/Water Contrector: Phone #
------------------°---------------------------------------------------------------...---------------------------------°-
I hereby acknowledge that I have read this application, state that prL:rir5far-mati a? e to comply
with all applicable State of Minnesota Statutes and City of Eagan ?rdinanc s.
Signature of
OFFICE USE ONLY
Certificates of Survey Received - Tree Preservation Plan Received -
. ?J
Not Requir,gd
1111 2 ° zooz
CI7Y ClF EAGAN.
CASI-17E.Fin S ThRMZNAL Nf.la 'r'19
DATEa 02/13/99 TIME: i.5:32w43
ID-.
NAMEa PF HC)I_DINC C[lMf'ANY
c^iE, 9001 4342 1'SATTHEW GT 5VOOC7.5S
To•fa3. f"teeei.p+, Amatint- 52000.55
cf.io3aao
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%#X?X??#c?C?kXt*?k%tXckCXt?kkt?C%?%??F?k?k?kX???%??C?XYF?tXt%t ?#???kC?X
CITY OF EAGAN
? 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
SITE ADDRESS:
P I?,N, < 10--45096-m6O-01
DESCRIPTION:
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PERMIT
PERMIT TYPE: ,i UT L « f 14 ,;
Permit Number: 0 ?? 4 5 N i
Date Issued: 0 ?/:L 9! 9 3
434; P9F\Ti"HC'W C'i
L07° G EiIDCi:: 1
1- rX1Nr,3T0 n; P CJI:iVTf_' 12 1H
,-
6 i.lr'1 iiQ' ,P e r m i t T" v p L,
134.lil0 tttq Wi:ai:k fvu„
1?fB L 0ceupancy
; ?CC,-ic i:rucci.un TvI)7?
ZcSna,nq
,r
r'Lta'}.tdi.nq t_ertoth F?'?
Guildir.c b.Ii.cii;h
Feet-
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C; c??`y ei? C n ri ;, _a
REMARKS:
P? N r:EV itW F n r;v i'ia,vN t- M I?i I crz.
SW 'LUri3ER 15 F2/11'M ON U FIA F, P 110P 1- #?f6?1l1 856-6 0 P 2.,
FEE SUMMARY
VA LUl1T:CUiV
Base Fee
Plan Rev.iew
Surr.hnrqe
SFlC
SF1C N
?3AC Units
2+ubtc) Y:a.1
$f378.90
$82 . 0 IA
$:L.050 .o0
100
9
$3.3Ea3,?5
$1.64 . 0 0 0
M]'SC. FCES 11.637.60
7ocai i-c-,e $ 5 .0 0 0 .55
C(jNTRACTOR: -A p P 1. ,i. c a ri t- ST. I 7 c, OWNER:
IFARS(JIV MCJMES LR7:AN L ?14540644 0001317 Tt-IORSON fiOhIES
4 4bJEDf5W0f.1D rJR 11 /165 WFllGC4J000 (JIt
EFlGRIN! Mid 5512 :5 EAGF\iV hiPd 55123
(til2 ) Z 15 A-0 6 R4 ( 551 ) 45 4 --0 614
,-,rknowledn? Lh»i ' i7ave i'a,7d thi,; apoJ.ica-Lian arrl stat:M td-trir, tf-re
znivr,nrr'c.:orr i,, cerrrec:t ar,d aqj+e i:o eomplv witPi aLi aopl.i-caba_e Staf-.Q ai- Mn.
Si:ai.utec and Cit}r ofi Eaqun Grc?i{??ri?tc??,
L ?
APPLICANT/PERMITEE SIGNATURE ISSUED BY: SI NATURE
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
; CITY OF EAGAN
3830 P 60T, KNOB? - 55122 () (S O . ? j
New Construdion Reauirements RemodeVReoair Requirements Cct," D_ I&_q9
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam 8 window sizes; poured fnd. design; etc.) ? 1 site surveys (exterior additions 8 decks)
? 1 energy calculations ? 1 energy caiculations for heated addftions
? 3 copies of tree preservation plan 'rf lot platted after 7l1193
required: _ Yes _ No
DATE: oC- S'Slp GONSTRUCTION COST:
DESCRIPTION QF WORK:
STREET ADDRESS: 147 14 Z. I4 R ttlj Lr[ti Z"
LOT: (:? BLOCK: ? SUBD./P.I.D. #: -eYv1 Prn
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: _04440L. YJ/'Iarr• Phone #:
Last First '
Street Address:
City
State:
Zip:
y511-oGyy
Company: Phone #:
Street Address: License # t 717 Exp. 9 9
City 5tate: ,/I'k &/ Zip: fsl Li
?
Company:
Sueet Address:
City
Phone #:
Registration
5tate: Zip:
Sewer & water licensed plumber (new construction only): & 4 4: J??L-J?j . Penalty applies when.address
change and lot change is requested once permit is issued. (?, ' , a ??? lZ, U g-?y--
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with aIl applicable
State of Minnesota Statutes and City of Eagan Ordinances. le., ,l
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received ZYes _ No
Tree Preservation Plan Received _ Yes _ No
RECEIVED
FEB 0 5 1999
BY:
?ot Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
01 Foundation ? 06 Duplex ? 11 Apt.lLodging ? 16 Basement Finish
07 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition O 08 8-plex ? 13 GaragelAccessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 ' plex ? 15 Deck
WORK TYPE
zl-?, 31. New
? 32 Addition
? 33 Alterations ? 36 Move
? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actuaq
(Allowabli
UBG Occupancy
Zoning
# qf Stories
Length
Width
APPROVALS
Planning-
3`
Basement sq. ft.
Main level sq. ft.
L, P PrA sq. ft.
(,gA sq. ft.
P& sq. ft.
Dr,-
sq. ft.
Footprint sq. ft.
Building
iz,OD
?
? v6
7e-q
a,Pl. l
Engineering .
Variance
?
?
?
?
v_
Permit Fee
Surcharge
Plan Review
License
MClES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
I?? ?-. f S Valuation: $/6`?, 00C'7
? .0 ? ?a <GM nI?'?
Rj R-9 O ya x ),$/_ -756
36 x/ p = a bd
6 x 6 ° = 39'
1 osu .o0
iN''
y 6 = aIr
g6
? ?, od ? ?S= !? 04?J
Main
f6XZ ^ 17
? x N6= ;?3
?2,57 ?v-q = 67tf75-
36 k31=16
bU . - ax,= 7
2g,Y a Z. J5-j32
?yy X y = 5"??? _
riq5l 6,qN=6ys6s;
G#R 6 _ ??K
3z??v
-?oxz je
D?K
/6 = l2r?a?1
/G3 6`G ?
Census Code
SAC Code
Census Units
Census Bldg
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
? • ,
r.tMaL?ul^ "^" rNA TER Vy0
BASEO 6V _
HOD-EL ENER(ji k-UuL - ?
Adoptlun EEfVettvw l
?? Y V Y V A? • V?•
ION-:-er;,
. . . . .. . . k . . . .
. Phane ^at. __ _
,
)wne r .
;ite Address -
_?? c ??c ;? ?o ? ?o,-c•e ? -- ' .?hOn!_
:ontrattor
- - .. . .. __,_..? . ? T,,.,. aa
(Atsidential
(3 stories cr ess
root S fiaor area
5. Square fcot area of rim jolst F
1
-
r
jPe?
`2axmi o?st area `? ft2
`
`
x
imeter
i
_ Tr
6 . . Doors.- Area
TMc ?, attor
nesx k `?" -=--lsariuwter
ir
Typt at Construtt o? ? -?-
r Manufatwrer,_
7.
Tatal door's
perimeter
tt _
? State approved f5\ ?
.$ . Windoxs: Nanutacturer
U factor .. ?? °. 2
S1IE AR?A {F+'.2) "IUMBER OF TOTAL FEET
TYPE EACH UNITS
w. ?o
-
--- --------- N S O
? , .
_____----
9 Total ft.2 Glass -e- -A Ft.2
106 Flreplate area: Width x neiaht •?„?X_ ---....--- ??? r Ft.2
] 1. ExposQd foundation: He1ghC x Perlmeter '•"-
:)MPLETION OF THIS FOR1M IS REQUI3ED fQR All NEg COtISTAUCTION. MAJOa REMODEL[NG ANO BUiLQI',GS BEI
I D;vED WxERE ENER6't OTHER HAA THE MIN IMAI. GOQE. A144uANtE. LS USED. ,
' • , , . . . , ... .. . . . r_. .. ... . ;
Framing area a 10Y of yross ?+all area. Gross vwll aree Z?l"? ? '`'• z
, • .
. Windor+ area A r --(? .-?Z.ft.2 t:. winCows ?5Z U x A•
Rim'Joist area A tt.2 ' U rim joist ? . 0--4 U x A s °lbo
? .
?
poor area A ?-i ,-C-T ft. 7 door area ¦•- ?\Z3_ U x A•
?cf.. U rireplace U x A ¦
Fireplace area A Z:<k . -
Exposed foundation A f*_.? J faundatian U Y. A¦ \? ?4
Framing 3rea A ft.? J framing area * ?f='?? U x A¦
Net wail area A 1 `t. ,J.wall U x%. ¦ G?,•??•?(o
r -- - -
?>?c'; '?;. AL . . . . . . . . . U x a
_-
. Gross wa11 area x 0.11 (A-1 single famiTy S du:,;=x • altowable Ux A/Code
(13. aCove)
x 0.23 (A-2 other residentia'.;
x .23 !4ther Duildings`
,c .28 (Ovei• ; starie;)
BTUH Must be larger than
A 138 .bove
. Calling framiny area (Af) aquats 100, nf cs;ling area ? or the same as)
?. . Gross cetlinq area ? (l) ?C? x {',t ?L • _ \T?q ? ft.2
3 Joist area (Af) ¦ 1Q" ceiling area = c_ ft.2
?. ye! .ceilina area (4c) (15A - 158) • \\ (?, r,- 4 ft.2
U cei 1 i ng x A cm _ n?.? x bL<, .'5s?_'
U traming x A f• d C4- x_ \??1, (o = 3 e4 Z,
?. :eTaL u x a .......................................
. ?
, Cetlinq.area (15A) x 0.026 (A-1 SinSle `amily S duplex - coCe a1lowaDla U x a •
x 0.03 (A-2 other reside.^.tial)
x O.C6 (other) .` :
' Bo N?1ust 6e larger than 1E0 (abave)
A(15?) x?(coe) = ..0F,?. F (or the same as)
,
!VQTE: Use U ani A values obtained f?•or* aps 1. 3 and 4.
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?_y :..
.;
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1nC+.: i vt :+i l t
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hta th f ng Z, . o?
3 l d i ni . G. `l
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-
, Outsida air titn .17
?= Q?
.
. . . . J . . . ' .
TorAL LD . °? o
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Instde alr f:lm R• .68
2ND WALL w i l
Inter ?or .'45
SEC?l'Mi .
insul?tEqo \? •pp (Vli11 ) = • ? • ` ?
Z
•
?? ? ?'X
Ext?rl??4!?II GOVfTi Rj, R ?
i.
il `
e. t..
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-
R r4
rAL
?.., Inttriur aic tii?n .63
? 8TM ? j /I G•; ?, on
JOISi T
•-%
1? inch su(r •ruud
R=?.88
(Rim
a
• ? - Joist)
h. n c`?`? ?. o G• ,
.
•
? te.Mpr watl covPr
ina•
_ ' . LxtrtrtaR:;.alr ftim
, R• .17
.0 4
? f - a rorAL z4
4 E
_ e
j; . . . tnt.rlPr}4ir [+.la A' .68
?..,.
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a4.;'
,
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1 C.,.?.. Poundacion `_--• ? o . (Fdn. ) U ? ? •
l
•.
toetor sir ftln
x
R•, •17
y: .I or
ti q -?
R ?1'= •
? ?
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,
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,
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APT,
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Afr ti1m, 0.61
' 3A .-t gS Insulatton 4 4, o
r-
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a
Ceilin4 . 5 ? . .
O.E1 Air Filii 0.61
:
Total
1
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F!.4T ROOf OR GATHEDRAL CEIIING
4 Va ue
F R:+M i NG
, .
rt,
R `tALUE
CEIIING
[nside nir fi? 0.61
Ceiling
Joisk (Stud
InsuldNon
A1r space
Roof de:kiny
Insulatlon
Bu11 t-up roof
0. 7, Outsfdf a1r t.i1w a
w • ':.x ;`'? ? - : :?°
, . Tott1 R
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• ,
u
;'.
iin4o++ tnfiltraticn 5 cfmllineal foot ot crack
14tidential door inflltrition 0.5 tfm/s0u3ra foot ar dcor and mlninuir code requirement
'. bn-rssfdential door intlltration 11.0 cfa/l ineai foat of cruk
10 12" cor??4'ete blptk no insulation ?A .?C7 R 2.1
?-? 12" concrete otock insulated cores • .26 R 3.8
?1j, 12" 110t•.M14At platlc + .32 R 3.1 -
12" tiqhtxeight block td'sulated cores,x .12 R 8.3
i?:J'• single 91ass n 1.13; w1th storn wtndoa:.54 .
doutil* glass • .Sa _ •
4 triple glass • .41 •:,
?
"» 1"terior wills and ceilfngs R?ust have a vapor 5arrier (C.10 perm Pix•1•
?:.:?por birritr mst be on the lnside (heeted sfde) of wall.
;?;;??or Darrters of th• pGlytth?lene tAin ft,im have nc R val uc.
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LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL:
LATEST REVISION:
DOCUMENT STANDARDS
?
• Registered Land Surveyor signature and company
• Building Permit Applicant
• Legaldescription
• Address
• North arrow and scale
• House type (rambler, walkout, split w/o, split entry, lookout, etc.)
• Directionai drainage arrows with slope/gradient %
• Proposed/existing sewer ana water services & invert elevation
• Street name
• Driveway
ELEVATIONS
Existina
• Sewer service (or Proposed)
• Property corners
• Top of curb at the driveway
• Elevations of any existing adjacent homes
Proposed
C? ? ? • Garage floor
m? ? • First floor
rg
?
? • Lowest exposed elevation (walkout/window)
?
?
[Y ? ? • Properly corners
g-- C] ? • Front and rear of home at the foundation
PONDING AREA fif apalicable)
? 2--'O • Easement line
? [r, ? • NWL
? CK ? • HWL
? 0" ? • Pond # designation ?
? ??o • Emergency Overflow Elevation
DIMENSIONS
[`1 ? ? • Lot IinesBearings & dimensions
[d?? • Right-of-way and street width (to 6ack of curb)
? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
/ porches, etc. (i.e. all structures requiring permanent footings)
[7 ? ? • Show ali easements of record and any City utilities within those easements
[T' ? ? • 5etbacks of proposed structure and side ard setback of adjacent existing structures
? ? ? • Retaining wall r uiremen ' ny
Reviewed:
Name /Dae
January 1996
CRAIG79B&8LDGPRMT. FM
CITY USE ONLY
LOT BL / RECEIPT #: ?
SUBD. RECEIPT DATE:
v? ???
4?11s/99
MECHANICAL PERMIT #
1999 MECHANICAL P£RMIT (ftESII?£NTIAL)
CITY 0F £A6AN
S$SO PILOT KN08 iiD
EfkfiAN bIN 551EE
?
Date• (651) 681-4675
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occupied.
• HVAC: O-iGOlvi n T u
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
State Surcharge
Total
$ 30.00
6.00
-300
.50
$ 33?-0
Complete this section onlv if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
New _ Alteration Repair _ Other
Reminder.• Ca11681-4675forinspections.
Furnace Air conditioning
Air exchanger _ Other
$ 3"v.0u
State Surchazge .50
Minimum Total Due $ 30.50
SITE ADDRESS: J142 / r Ic -i-/ti e u1 Co v r i
OWNER NAME: TI2ov SnA riO/-,es PHONE #: -
(AREA CODE)
INSTALLER NAME: PHONE #: Co I ?-
STREET ADDRESS: I3n 7,? P? nfx)e er jfa -A (AREA CODE)
CITY: C d?? Y'ra?s e STATE: ZIP:
G NRE OF PERMITTEE
/- CITY USE ONLY p
? L (X BL RECEIPT #: C f? I C?33 ??J
SUBDl?76. ? . RECEIPT DATE: - 99
1999 PLUM$INC PERMTt' (RSIDENTIAL)
I crrY oF EpLsax
_
7
?
3$30 fILOT KNOS RD
£AH}4N, MN 5518E
(651)681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backfiow preventer for underground sprinkler system
------ - - - - - - - - - - ------------------ - - -
FIXTURES -- - - -- - ------
EACH
#
TOTAL
Shower - 3.00 x 9 = 3. -
bVater Ciosei -3.00 x 3 = 9. -
Bath Tub -3.00 x
Lavatory _ 3.00 x ? _ /S• _
Kitchen Sink -3.00 x f = 3-
Laundry Tray - 3.00 x --
Hot Tub/Spa ? 3.00 x =
Water Heater -3.00 x
Floor Drain -3:00 x -3 = 9. -
Gas Piping Outlet * minimum -1 - 3.00 x =
Rough Openings _ 1.50 x 3 = 4. SO
Water Softener ` for dwellings under construction 5.00 X =
Weter SOftenef ' for existing dwelling 30.00 x =
U.G. Sprinklet' ' for dwe!Iing unc+er const. 3.00 =
U.G. Sprinkler ' for existing dwelling 30.00 =
AlterdtionS " to existing residence 30.00 =
Water Turn Around 30.00 =
Private Disposal System ; MPC uc. 75.00 =
(new and refurbished systems)
Private Disposal Systems * ,o,nandonment 30.00 =
RPZ (new installationlrepair) 30.00 =
STATE SURCHARGE .50
Reminder: Call 681-4675 for inspections of water heaters,
water softeners, alterations, etc. ? ?
T?TAL 1
•----------------------------------- ----------------------- ---------------------------------------••--------------
I hereby adcnowledge that 1 have read this application, state that the infortnation is corted, and agree to comply with all applicable City of Eagan ordinances.
It is the applipnYs responsibility to notify the property owner that the City of Eagan assumes no lia6ility for any damages pused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement.
51TE ADDRESS: 43 Lt -?- - tMZcJ 62??
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS: "/ ? d-/o -
`
CfTY: STATE:
?NE7 9G?i
ziP:
?C l??? ??-??
SIGNATURE OF PERMITTEE
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999
2422 Enterprise Drive
Mendota Heighks, MN 55120
? I (612) 681-1914 FAX:681--9488
LAtlP SVR4EYORS • GIVII ENCINEERS -.. .??--
.P'f ?{"11?IE31"I
* ? k
{,nND PLANNfHS. LAH6SCME
cwir[crs 625 Highwoy 10 N,E.
Dlaine, MN 55434
(612) 783-18130 FAX: 783-1883
Certificate aT Survey ior:
?
?
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2;
i
*L 992.4
? 1f
NOOr53'3
?
THORS0N HClMES
4342 MATTHEW COURT
BENCH MARK
70P 0F PIPE,ELEV.=990.25 `?
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.
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EEG
(? HOUS 993.?
1o
68
W
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UREV
SVe?
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ZDD W -?----`P,."? r • EL?O?f?l?
??9?? ? ? -?r ao! ?
7, ^ ?S ?IL- 0
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986,8
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99 ' 22
10 I SERVICE El. ?L0 24.33\p
? PER CONST, PLAN iID\ o
wW
00
15
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? ? 992. .04 i 3150 ? ij
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? NGH MARI< i'
TOP 0F PIPE'
^6 u, ' ELCV,-992.09
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9$6,8
(%4t,o)
NDTC? PRDP05ED GRApES SNOVM PER GRnDING PLAN 9Y: TR1-LAND SVrivEYING PRDPOSED HOU4E ELEVATIDN
NOTE: BUILDING DIMEN40NS SH6WN ARE FOR HOFiZONTAIAND VEHnCAL LOCA71014
LOWES7 FLOOR ELEVATION:
OF STRUC7UR;5 ONLY. SEE ARCHITECTUAL PLAN5 FOR BUILOING AND n R 5 7
FOUNDATION Din+ENSioNS. TOP OF BLOCK ELEVATION: ?
NOTE'. N6 SPEG1FiC SOILS wVESTIGATION Hn5 BEEN COMDLETEU ON THIS l0T 9Y THE ?
SuRVEYOa, fHE Su1TA611.11Y OF 50145 TO SUPPORT 7HE SPECIFIC HOUSE GARAGE SIAB ELEVA710N: PROPOSEO 15 h10T ThtE RESPONSIBIUTY OF 7NE SURVfYOR.'
?
?
NO7E: THIS CERYiviCATE DOES N07 PURPORT TO SHOW EASEMENTS 07HER YHAN X'OqD.00 ?ENOTES EXi5TiNG ELEVATION
11105E SHOWN UN THE RECOftDEO PIAT. 000.90 ) OEN07E5 PROPOSHD ELEVATION OCN4TE5 DRAINAGE ANO uTILItY EASEMENT # d
N07E: GOPITRACTOR MUST VERiFY pmVEWAY DESICy. ' . . . , .. OEN47ES:DRAINFGE kQW DIRECTIQN
?
OENO?ES M6NUMRM? f
NOiE: BEARINCS 5M0'NNARE BASEO ON'AN ASSUTAED DA(UMr' «!;E:T NU@,
WE HEREBY CERTIFY TO THORSQN HOMES 7HAT TNIS IS A TRUE AND COftRECT REPRESENTATION OF A'
SURVEY OF iHE BOUNDARIES Ofi
LOT 6, BLUCK 1, LEXINGTON POINTE TWELFTH ADDITION
DAKOTR CQUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHq4V IMPROVEMENTS Ok ENCHROACHMEFJTS, EXCEPT AS SHOWN, A5 SUR'JEYED 13Y h1E PR
UNDER MY DIRECI SUPERVISION THIS 20 DAY OF JANUFlRY, 1099.
g;;?Ep;r??NEER ENGI EERIN P.A.
SCALG : 1 INCI-I = 30 FELT
, nn C. Lorson, L.S. Reg. No. 19828
7391.07
LT:2T EE, Z 'qaJ
T .Cl `r'H?
O9CYlfE@F#
4K ng r?ia?r n
i?
C?rtificate of Survey ?or:
?
?
?
i..r
?
992.
rvuo?53',
2422 Enterprise prive
Mendota Heights, MN 55120
• CIVIL ENCtNEEFS (612) 681-1914 FAX: $$1 -9488
{,RND VI.ANNfRS• L0.70SCMF ARCNITECYS 625 Highwoy 10 N,E.
[3laine, MN 59434
(612) 783-1880 FAX:783-1W
THORSoN HoMEs
4342 MATTHEW GOURT
BENCH MAftK
70P OF PIPE,
ELEV.=990.28 `.
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t0 I SERVICE El. 992.2 •a 24.33?°? w?
I PER CONST. PLAN i?\ o 0
\` =981.0 ? ? ? ? \ Q T10.00
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TOP OF PIFE'
ELEV.=992.09
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GARAGE
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NOTE? RROPOSED GRADES SNOWN PER GRaDWG PLAN BY: iRl-LAND SURVEYINC
NOTE: BUILDING CiMEN510N5 SHOWN ARE FOR HOR1ZONiAL' AND VERiICAI LOCATION
OF SiRUCTURES ONLY. 5EE ARGHITECTUAi. PLANS FOR BUI{,DING AND
FOUNOATiON piMEN510N5.
NOiE: NO 5PECIFlC SOILS INVE5TIGATION HAS 9EEN C06i?I,ETEU ON THIS L0T BY,THE
SURVEYDR. THE SUITA61U7Y OF SOILS TO SUPPORT THE SPECIFIC MpUSE `
PROPOSEh i5 NOT TME fiE5P0N51`31UTY OF iNE SURVEYqR.'
PROPOSEO HOUSE ELEVATIpN
LOWEST FLOOR ELEVATION: 91R7,G
TOP OF BLOCK ELEVATION: 9952
GARAGE SLAB ELEVA710N: 995 -3
NOTE: THIS CERTiFiCATE DOES rvq7 PURPORT 7p SHOW EASEMENiS OTNER THaN ' x-OOO.CO DENOTES EXi$TWG' ELEVnTipN
- i140SE SHO»mi ON 1'HE RECOROEO PLAT. 000.00 ) DEN07E5 PROPOSEO ELEVATION
- _ - ? DENOTES DRniNnCE AND uTiL:TY EASEMEN7
NOr'c CONTRACTOrt uUST VERiFV OrsiY@WAY DESiGN. . .- . - ?? DENOTES DRAINAGE FLOW DIRECTiON
NpiE, BEARINGS SHP'NN ARE BASED ON AN ASSVNIED OATUM --P- DENOiES MONUMENT
' --?-r--- ?? _ ^"°" ' .9 .. .
WE HEREBY CERTIFY TO THOFSbN HOMES 7HAT TH1S 15 A TFtUE ANQ CORRECT REPRESENTATION OF A
SURVEY OF iH@ BUUNDARIES OF!
LOT 61 BLOCK 1, LEXINGTON F'QIN"fE TWELFTH ADDlTI(7N
DAKOTA COU+JTY. MINNESOTA
IT DOES NOT PURPpRT TO SHOW IMPROVEMENTS OR ENCHROACHMFNTS, EXCEPT AS $MOWN, AS 5UR'VEYEO 6Y h1E OR
UNDER MY DIRECT SUPERVISION THIS 20 DAY OF JANUARY, 1099. ???
c:cxiFn? t?'1NFFR ENGI EE46 RInS3: P.A.
SGALE : 1 INCH = 30 FEET
983,6
(q 16S .o)
n C. Larson, L.S.
i .d
Xt1i
Lt:£ti 66< Z '9a_?
City of bpi'
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit#: 139
Permit Fee: 3
01
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
-�
Date: �'_ -! '1013 13 Site Address: Li � ,-1 Z i "' tGk Unit #:
Name: ("lf 0
Address / City / Zip:
SII- t—or I` ocu., ,
Phone: Z-1675 " 06'7
Applicant is: Owner X, Contractor
Description of work: EIr ;(fit US't COV Q_. q P_ t 01 kJ „J
Multi -Family Building: (Yes / No X )
Construction Cost: 31 (, UV
Company: ( (/ln (-1,/1.9-eS Contact:1 iC (-01 Z-1510 — 359 7
Address: 1--N (Q(2 W0 jCSdX'`t DC, City: Ear'QN`..
C
State: � ��5.5Zip: I Phone: ��; -� � ° �� i _ L � �% 4
License #: 1317
Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
t -FA t916
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x ' L (, V7(�✓f�
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
SUB TYPES
Foundation
?C Single Family
( Multi
01 of _ Plex
WORK TYPES
New
V Addition -7
/� Alteration
Replace
Retaining Wall
(43 9 Q >i -
DO NOT WRITE BELOW THIS LINE
Fireplace
Garage
Deck
Lower Level
()KyCIC
Interior Improvement
Move Building
Fire Repair
Repair
DESCRIPTION rr,n�
Valuation V
Pian Review
(25% 100% )
Census Code
# of Units
# of Buildings
Type of Construction t/ j
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
/ ' Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water Final
Framing
Fireplace: Rough In Air Test
Insulation
Sheathing
Sheetrock
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
Siding
Reroof
Windows
Egress Window
46.
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
/00
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Other:
Pool: Footings Air/Gas Tests Final
Siding: _Stucco Lath Stone Lath Brick
Windows
Retaining Wall: Footings Backfill Final
Radon Control
Erosion Control
, Building Inspector
r)6b1
n r -
0 °
2 top
_) 7 V Page 2 of 3
* PIONEER
sing mer ng
X **
Certificate of Survey for:
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NO0
992.4
1
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10
68
Ammimenumummesmimmommemomeommos
2422 Enterprise Drive �'tes
Mendota Heights, MN 55120 //l �`f
(612) 681-1914 FAX: 661-9488
LAND SURVEYORS • CIVIL ENGINEERS
LAND PLANNERS. LANDSCAPE ARCHITECTS
THORSON
625 Highway 10 N.E,
Blaine, MN 55434
(612) 783-1880 FAX:783-1883
HOMES
4342 MATTHEW COURT.
BENCH MARK
TOP OF PIPE.
ELEV.=990.28
EXISTING'
(cA0t1) HOUSE 986,8
99 cP
C T N 9'06 '2.iE'" 34.33
V, .58.95 —
993.1r, 4"'
10
1 SERVICE EL. 992,2
PER CONST, PLAN
=981.0
2.0
93.9 <,3. 2.
\ r p
-I
V
140.00
985.55
1983,6
(A$6.0)
993,0 4? ifi
t30
993.
\ 992.0
\
,i� 25.56
NeS1 •09,+2aw 34,83
BENCH MARK /
TOP OF PIPE'
ELEV,=992.09
NOTE: PROPOSED GRADES SHOWN PER GRADING PLAN BY: TRI -LAND SURVEYING
NOTE; BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL' AND VERTICAL LOCATION
OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING. AND
FOUNDATION DIMENSIONS.
NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE
SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE
PROPOSED I5 NOT THE RESPONSIBILITY OF' THE SURVEYOR.
NOTE:
THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN
THOSE SHOWN ON THE RECORDED PLAT.
NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN:
NOTE; BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM
WE HEREBY CERTIFY TO THORSON HOMES THAT THIS IS A
SURVEY: OF THE BOUNDARIES OF:
LOT 6, BLOCK 1, LEXINGTON
DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED EY ME OR
UNDER MY DIRECT SUPERVISION THIS 20 DAY OF JANUARY, 1999.
10.8;
94 1
995,4
EXISTING
GARAGE
988.7
0
t40050'14"W
OUTLOT A
986.8
(432344,0)
PROPOSED HOUSE ELEVATION
LOWEST FLOOR ELEVATION. 9(k 7.G,
TOP OF BLOCK ELEVATION: 995.7
GARAGE SLAB' ELEVATION.qi5.
X 000,00 DENOTES EXISTING ELEVATION
( 000.00 ) ; DENOTES PROPOSED ELEVATION .
DENOTES DRAINAGE AND uTILITY. EASEMENT
DENOTES DRAINAGE FLAW DIRECTION
--#;DENOTES MONUMENT
O DENOTES OFFSET HUB
TRUE AND CORRECT REPRESENTATION OF A
POINTE
TWELFTH ADDITION
SCALE ,: 1 INCH = 30 FEET
1924 97391.07 JJS
T
SIG I ED; r �• *NEER ENG( EES
hn C. Larson, L.S, Reg, No. 19828
BY:
Xdd
LT:21 66, Z
.qad.
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA111757
Date Issued:07/10/2013
Permit Category:ePermit
Site Address: 4342 Matthew Ct
Lot:6 Block: 1 Addition: Lexington Pointe 12th
PID:10-45096-01-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Jenny Hanson
3185 Terminal Drive
Suite #200
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Gregg A Koenig
4342 Matthew Ct
Eagan MN 55123
Silver Tree Plumbing & Heating LLC
1947 Shawnee Road
Eagan MN 55122
(651) 319-4200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA111758
Date Issued:07/10/2013
Permit Category:ePermit
Site Address: 4342 Matthew Ct
Lot:6 Block: 1 Addition: Lexington Pointe 12th
PID:10-45096-01-060
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fixtures:Kitchen Sink
Jenny Hanson
3185 Terminal Drive
Fee Summary:PL - Permit Fee (miscellaneous)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Gregg A Koenig
4342 Matthew Ct
Eagan MN 55123
Silver Tree Plumbing & Heating Llc
1947 Shawnee Road
Eagan MN 55122
(651) 319-4200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115469
Date Issued:09/26/2013
Permit Category:ePermit
Site Address: 4342 Matthew Ct
Lot:6 Block: 1 Addition: Lexington Pointe 12th
PID:10-45096-01-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Elizabeth Hess
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Gregg A Koenig
4342 Matthew Ct
Eagan MN 55123
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature